Wycoff, John O
Wycoff, John O is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 325, Lansing MI 48912-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wycoff, John O can be contacted via phone (517) 364-5160.Contact Information
Primary practice address
1200 E Michigan Ave Suite 325
Lansing MI 48912-1800
Phone: (517) 364-5160
Fax: (517) 364-5165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101009308 | Michigan |
Profile Details
| NPI number | 1487619961 |
|---|---|
| LBN Legal business name | Wycoff, John O |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487619961 | NPPES |
| Michigan | MEDICAID | 3477253 | |
| Michigan | Other | 0853310114 |
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